Dr. Jay Ibrahim Haddad, D.D.S.
Dentist, Oral and Maxillofacial Surgery in Frederick, MD. Individual provider (NPI-1).
Details
- NPI
- 1790760700
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jay Ibrahim Haddad
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2005
- Certification date
- Feb 21, 2023
- Last updated
- Feb 21, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- Medicare opt-out
- May 13, 2016 to May 13, 2028
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 13498 | MD | Yes |
Other names
- Jihad Ibrahim Haddad (Former Name)
Practice location
6550 Mercantile Dr E Ste 101Frederick, MD 21703-7656
Phone 301-694-0870 · Fax 301-694-7034
Mailing address
7625 Maple Lawn BlvdSuite 240
Fulton, MD 20759-2565
Phone 301-617-3404 · Fax 301-617-3407
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Oral and Maxillofacial Surgery (Dentist) providers in Frederick, MD
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- Adrianne L Golly, M.D.NPI 1689885998
- Mark S. Hoffrichter, D.D.S.NPI 1285652339
- Maryland Oral Surgery Associates, LLCNPI 1164848370
- Ayesha Nawab, DMD, MDNPI 1225299225
- Mark Alexander Pitts, DDSNPI 1447279120
All 8 Oral and Maxillofacial Surgery (Dentist) providers in Frederick · All 5,755 providers in Frederick
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